NORTHWEST SURGICAL GROUP PC – NPI #1114957875
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

NORTHWEST SURGICAL GROUP PC is a surgeon located in OLYMPIA, WA. NPPES has assigned the NPI number 1114957875 to NORTHWEST SURGICAL GROUP PC on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 14 years ago on May 31, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST SURGICAL GROUP PC below.

NPI Profile for
NORTHWEST SURGICAL GROUP PC

NPI Number
1114957875
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST SURGICAL GROUP PC
Primary location
3920 CAPITOL MALL DR SW
SUITE 201
OLYMPIA, WA 98502-8700
Phone: (360) 754-1029 Fax: (390) 754-7885
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM WILLIARD
PHYSICIAN
Phone: (360) 754-1029
Updated
Identifiers

Identifiers for NORTHWEST SURGICAL GROUP PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7105182
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
WA MD00029497
174400000X
- Specialist
WA 601009261

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.